UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000030062
Receipt number R000031891
Scientific Title A multi-center, cluster randomized controlled study comparing usual care and a multidisciplinary intervention such as the DELirium Team Approach program to manage delirium among hospitalized cancer patients
Date of disclosure of the study information 2017/12/11
Last modified on 2019/06/07 11:22:00

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Basic information

Public title

A multi-center, cluster randomized controlled study comparing usual care and a multidisciplinary intervention such as the DELirium Team Approach program to manage delirium among hospitalized cancer patients

Acronym

DELTA study

Scientific Title

A multi-center, cluster randomized controlled study comparing usual care and a multidisciplinary intervention such as the DELirium Team Approach program to manage delirium among hospitalized cancer patients

Scientific Title:Acronym

DELTA study

Region

Japan


Condition

Condition

Malignacy

Classification by specialty

Gastroenterology Hepato-biliary-pancreatic medicine Pneumology
Hematology and clinical oncology Geriatrics Gastrointestinal surgery
Hepato-biliary-pancreatic surgery Chest surgery Breast surgery
Nursing Adult

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Delirium, defined as an acute disorder of attention and global cognitive function, is a common, serious, and potentially preventable cause of morbidity and mortality in hospitalized older persons. Primary prevention - preventing delirium before it develops - is the most effective strategy for reducing the incidence of this condition. The purpose of this multicenter, cluster randomized controlled study is to evaluate the effectiveness of multidisciplinary intervention in preventing the development of delirium and minimizing its severity in hospitalized cancer patients.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The incidence in events in medical safety such as falls, self-removal of drip infusion or drain tube, restraint

Key secondary outcomes

Falls, Self-removal of drip infusion or drain tube, Restraint, Barthel Index, Level of nursing care needs, Antipsychotic drug use, Opioid use, Duration of hospital stay, Cost of medical care, Hospital readmission within 1 month after discharge, Mortality within 1 year after discharge


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

No treatment

Stratification

YES

Dynamic allocation

NO

Institution consideration


Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

Implementation of the DELTA program with six components: (1) education of health care providers, (2) screening of delirium, (3) planning for delirium care, (4) prevention of occurrence and worsening of delirium, (5) scheduled assessment of delirium symptoms or risk factors, and (6) management and treatment of delirium.

Interventions/Control_2

Usual care

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

50 years-old <=

Age-upper limit

110 years-old >=

Gender

Male and Female

Key inclusion criteria

(1) Diagnosis of cancer at the primary site in health insurance claims
(2) Age >= 50
(3) Hospitalized patients in eligible wards
(4) Expected to live for more than 1 month
(5) Ability to communicate and write in Japanese
(6) Obtained informed consent from the patient or legally acceptable representative

Key exclusion criteria

(1) Discharge within 24 hours after admission
(2) Severe mental disorder
(3) Patients incapable of completing this study as determined by the primary physician or investigator
(4) Expected to live for less than 1 month
(5) Readmission within length of registration

Target sample size

9600


Research contact person

Name of lead principal investigator

1st name Asao
Middle name
Last name Ogawa

Organization

National Cancer Center

Division name

Division of Psycho-Oncology, Exploratory Oncology Research&Clinical Trial Center

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa, Chiba 277-8577 Japan

TEL

04-7134-7013

Email

asogawa@east.ncc.go.jp


Public contact

Name of contact person

1st name Kanno
Middle name
Last name Yusuke

Organization

National Cancer Center

Division name

Division of Psycho-Oncology, Exploratory Oncology Research&Clinical Trial Center

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa, Chiba 277-8577 Japan

TEL

04-7134-7013

Homepage URL


Email

ykanno@east.ncc.go.jp


Sponsor or person

Institute

National Cancer Center

Institute

Department

Personal name



Funding Source

Organization

The Japan Agency for Medical Research and Development (AMED)

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cancer Center

Address

6-5-1 Kashiwanoha, Kashiwa, Chiba 277-8577 Japan

Tel

03-3542-2511

Email

NCC_IRBoffice@ml.res.ncc.go.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

東札幌病院(北海道)、手稲渓仁会病院(北海道)、石巻赤十字病院(宮城県)、仙台医療センター(宮城県)、宮城県立がんセンター(宮城県)、がん・感染症センター都立駒込病院(東京都)、国立国際医療研究センター(東京都)、千葉医療センター(千葉県)、市立豊中病院(大阪府)、近畿中央胸部疾患センター(大阪府)、彩都友紘会病院(大阪府)、関西医科大学病院(大阪府)、和泉市立病院(大阪府)


Other administrative information

Date of disclosure of the study information

2017 Year 12 Month 11 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

9600

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2017 Year 10 Month 05 Day

Date of IRB

2017 Year 10 Month 12 Day

Anticipated trial start date

2017 Year 12 Month 11 Day

Last follow-up date

2020 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 11 Month 21 Day

Last modified on

2019 Year 06 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031891


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name
2019/10/03 DELTA study(UMIN登録用20191002).xlsx